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PACU Skills Checklist | ||||||
| NAME | |||||||
| LAST 4 OF SSN | |||||||
| DATE | |||||||
| I hereby certify that ALL information I have provided on this skills checklist and all other documentation, is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination. | |||||||
| Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below. | |||||||
| Proficiency Scale: |
1 = No Experience 2 = Need Training 3 = Able to perform with supervision 4 = Able to perform independently |
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| Rating Stars (Click) | CARDIOVASCULAR | 1 | 2 | 3 | 4 | ||
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Open Heart Recovery | ||||||
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AAA Repair | ||||||
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Vascular Surgery | ||||||
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Pacemaker-Permanent & Temporary | ||||||
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Cardioversion | ||||||
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AICD Insertion | ||||||
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Cardiac Arrest | ||||||
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Cardiac Tamponade | ||||||
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CHF/Pulmonary Edema | ||||||
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Abnormal Heart Sounds/Murmurs | ||||||
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Pulses/Circulation Checks | ||||||
| Rating Stars (Click) | PULMONARY | 1 | 2 | 3 | 4 | ||
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Ventilator Management | ||||||
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Fresh Tracheostomy | ||||||
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Thoracotomy/Lobectomy/Pneumonectomy | ||||||
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Pneumothorax/Hemothorax | ||||||
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Laryngospasm | ||||||
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Pulmonary Embolism | ||||||
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COPD | ||||||
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ABG Interpretation | ||||||
| Rating Stars (Click) | NEUROLOGIC | 1 | 2 | 3 | 4 | ||
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Post Craniotomy | ||||||
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Anterior/Posterior Spinal Fusion | ||||||
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Carotid Endardarectomy | ||||||
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Spine Surgery | ||||||
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CVA | ||||||
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Stroke Scale | ||||||
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Glascow Coma Scale | ||||||
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Spinal Precautions | ||||||
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Hypothermia Protocol | ||||||
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Hypo/Hyperthermia Blanket | ||||||
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Sedation Scales/Levels | ||||||
| Rating Stars (Click) | GASTROINTESTINAL | 1 | 2 | 3 | 4 | ||
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Pancreas/Liver Transplant | ||||||
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Colon Surgery | ||||||
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Colostomy/Ileostomy | ||||||
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ERCP | ||||||
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G Tube/J Tube Management | ||||||
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T Tube Management | ||||||
| Rating Stars (Click) | RENAL/GENITOURINARY | 1 | 2 | 3 | 4 | ||
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Renal Surgery | ||||||
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TURP | ||||||
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Arteriovenous Fistula/Shunt | ||||||
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Nephrostomy Tubes | ||||||
| Rating Stars (Click) | ENDOCRINE METABOLIC | 1 | 2 | 3 | 4 | ||
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Diabetes - Hypo/Hyperglycemic Crisis | ||||||
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IV Insulin Protocols | ||||||
| Rating Stars (Click) | ORTHOPEDIC | 1 | 2 | 3 | 4 | ||
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Laminectomy | ||||||
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Total Joint Replacement | ||||||
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Amputation | ||||||
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Open Reduction/Internal Fixation | ||||||
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General Orthopedic Surgeries | ||||||
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CPM/Traction | ||||||
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Circulation Checks | ||||||
| Rating Stars (Click) | WOUND MANAGEMENT | 1 | 2 | 3 | 4 | ||
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Surgical Drains | ||||||
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Wound Vac | ||||||
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Surgical Wound Assessment | ||||||
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Skin Assessment for Breakdown | ||||||
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Staging Decubitus Ulcers | ||||||
| Rating Stars (Click) | MEDICATIONS | 1 | 2 | 3 | 4 | ||
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Procedural Sedation | ||||||
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Anesthesia Medications | ||||||
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Anti-Arrhythmics | ||||||
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Anticoagulants | ||||||
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Anti-Hypertensives | ||||||
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Anti-Seizure Medications | ||||||
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Benzodiazepines | ||||||
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Emergency Medications | ||||||
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Insulin | ||||||
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Narcotics/Opioid Analgesics | ||||||
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Nitrates | ||||||
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Non-Opioid Analgesics | ||||||
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Reversal Agents | ||||||
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Steroids | ||||||
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Automated Medication Dispensing (i.e. Pyxis, Omnicell) | ||||||
| Rating Stars (Click) | IV THERAPY | 1 | 2 | 3 | 4 | ||
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Starting Ivs | ||||||
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Central Line Blood Draws | ||||||
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Central Line/Implanted Line Care | ||||||
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Blood Product Administration | ||||||
| Rating Stars (Click) | CARDIAC MONITORING & EMERG. RESPONSE | 1 | 2 | 3 | 4 | ||
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Malignant Hyperthermia | ||||||
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Dysrhythmia Interpretation | ||||||
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Dysrhythmia Management | ||||||
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12 Lead EKG | ||||||
| Rating Stars (Click) | PROFESSIONAL KNOWLEDGE AND SKILLS | 1 | 2 | 3 | 4 | ||
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National Patient Safety Goals/Core Measures | ||||||
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Fall Risk Assessment/Prevention | ||||||
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Pressure Ulcer Risk Assessment/Prevention | ||||||
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Age Specific/Population-Based Care | ||||||
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Pain Assessment & Management | ||||||
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Charge Experience | ||||||
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Interpretation and Communication of Lab Values | ||||||
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Specialty Beds | ||||||
| Rating Stars (Click) | EMR | 1 | 2 | 3 | 4 | ||
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Epic | ||||||
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Cerner | ||||||
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Eclipsys | ||||||
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McKesson | ||||||
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Meditech | ||||||
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Other Computerized System | ||||||
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Computerized Physician Order Entry | ||||||
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Bar Coding for Medication Administration | ||||||
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PULMONARY | ||||||
| EMR Conversion | |||||||
| CERTIFICATIONS | Expiry Date : | ||||||
| BLS | |||||||
| ACLS | |||||||
| PALS | |||||||
| Certification: CAPA or CPAN | |||||||
| Other: Specify | |||||||
| Other: Specify | |||||||
| Rating Stars (Click) | Age Specific Competencies | 1 | 2 | 3 | 4 | ||
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Infant (Birth - 1 year) | ||||||
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Preschooler (ages 2-5 years) | ||||||
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Childhood (ages 6-12 years) | ||||||
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Adolescents (ages 13-21 years) | ||||||
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Young Adults (ages 22-39 years) | ||||||
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Adults (ages 40-64 years) | ||||||
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Older Adults (ages 65-79 years) | ||||||
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Elderly (ages 80+ years) | ||||||